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NPI Code Detail

MEDICARE: MS. LORI ANN MEADORS PA-C

MEDICARE: MS. LORI ANN MEADORS PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician AssistantPA887WY
2363AM0700XMedical Physician Assistant00335TX
3363AM0700XMedical Physician AssistantPA00335TX

General Provider Information

NPI Number : 1073795365
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LORI ANN MEADORS PA-C
Provider Business Mailing Address
First Line : 2711 FERNDALE ST
Second Line :
City : HOUSTON
State : TX
Zip : 77098-1113
Country : US
Telephone Number : 713-426-3337
Fax Number :
Provider Business Practice Location Address
First Line : 6565 WEST LOOP S STE 525
Second Line :
City : BELLAIRE
State : TX
Zip : 77401-3519
Country : US
Telephone Number : 713-661-7888
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2007
Last Update Date : 04/24/2024

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